Individual provider Active NPI

Susan Thrasher, DNP, APRN, RNC-OB

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1437414604
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-46160-092 Issued in KS
Practice address
12200 W 106TH St Ste 125
Overland Park, KS 66215-2382
Phone
(913) 599-1396
Fax
(913) 599-1397
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2016033668 MO
Nurse Practitioner 363L00000X 53-46160-092 KS Primary

Addresses

Primary practice location

12200 W 106TH St Ste 125
Overland Park, KS 66215-2382

Mailing address

12200 W 106TH St Ste 125
Overland Park, KS 66215-2382
Phone (913) 599-1396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241112001448 KS Practitioner - Nurse Practitioner 9739613886 Reassigns benefits to 1 organization
I20241223002402 MO Practitioner - Nurse Practitioner 9739613886 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-46160-092KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerpoint Womens Services LLC CurrentSince Nov 15, 2024 Accepting new patients

Locations

1004 Progress Dr
Ste 220
Lansing, KS 66043
Phone (913) 401-2530

1620 Charles Pl
Manhattan, KS 66502
Phone (785) 776-1400

1418 S Main St
Ste 5
Ottawa, KS 66067
Phone (785) 242-1620

8787 Ballentine St
Overland Park, KS 66214

12200 W 106th St
Ste 125
Overland Park, KS 66215

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

5701 W 119th St
Ste 305
Shawnee Msn, KS 66209
Phone (816) 350-2024

8600 NE 82nd St
Kansas City, MO 64158
Phone (816) 350-2024

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: susan.thrasher@hca2.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1437414604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST STE 125",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152382",
            "telephone_number": "913-599-1396",
            "fax_number": "913-599-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST STE 125",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152382",
            "telephone_number": "913-599-1396",
            "fax_number": "913-599-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRASHER",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, RNC-OB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2016033668",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-46160-092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.